The precautions after kidney transplant

The precautions after kidney transplant

Kidney transplantation has brought the gospel for uremic patients.But because of the acceptance of the donor kidney is allogene, so there is a lifelong rejection. After the patient is discharged, everything depends on self-observation. At this time should be a good mentality, should be cherished the hard-won new life .
Reminder:
Usually within 3 to 6 months after surgery is essential, is the impact of the long-term survival of the transplanted kidney and the fate of the critical stage. On the one hand, taking the immunosuppressive agent dose is large, low resistance, easy to infect; the other hand, when the immune response is strong, prone to acute rejection. Recent acute rejection and often lead to later to chronic rejection, affecting long-term survival of the transplanted kidney. Therefore, postoperative try to avoid acute rejection, are very important for the patients .
Patients should be careful to do the following:
Take medication regularly under the guidance of doctor
This should be treated as a top priority for the patient every day, every day must be strictly according to your doctor to take medicine, do not arbitrarily medication, drug reduction, to prevent the occurrence of exclusion and drug poisoning.
Regular outpatient review and follow-up
General requirements, should review 2 times a week in the first month after kidney transplant,in the second months review 1 time a week,in the third months every 2 weeks review 1 times. Half a year after the review 1 times, the condition should be changed with the attending physician at any time, timely diagnosis and treatment. Review items are: blood, urine routine; liver, kidney function; cyclosporine / Bullock can restore blood concentration. In addition, if necessary, should be reviewed chest X-ray, renal transplant ultrasound, electrolytes and blood lipids.
Make a record of life
1. The body temperature is recorded twice a day, arranged in the morning and after lunch.
2. Urine daily record of three kinds: day and urine, nocturia and 24 hours of total urine output.
3. Weight recorded once a day, requiring accurate measurement can be arranged before breakfast, after the urine.
4. The results of the inspection are summarized by inspection date.
5. Medication type and dose mainly record the amount of immunosuppressive drugs and increase or decrease.
Observe the signal of exclusion
The following circumstances should pay attention to whether the exclusion occurred:
1. Body temperature rose to 38 ℃ or more (more than 4 to 5 o'clock in the morning).
2. Urine reduction, weight gain.
3. Transplanted kidney enlargement, pain, tenderness tingling or straight down lower limb sensory traction pain.
4. High blood pressure.
5. Unexplained weakness, bloating, headache, loss of appetite, soreness, tachycardia, emotional instability, irritability and so on.
6. Elevated serum creatinine, elevated blood urea nitrogen.
Of course, the above six cases do not necessarily appear at the same time.
Patients should review a renal function as soon as possible, if the serum creatinine increased, you can confirm the occurrence of acute rejection.
Prevent infection
After kidney transplant the patient due to long-term use of immunosuppressive agents, immunity is lower than normal, can be found in the past is not easy to cold patients are now very cold, once infected, there will be continuous high fever, symptoms associated with infected organs. A similar situation should be treated as soon as possible, not delay, delay treatment.
Infection is actually preventable, the main measures are:
1. No smoking.
2. Less to public places, go out wearing a mask.
3. Cold weather in time to add clothing, anti-cold.
4. Pay attention to personal hygiene, wash hands before and after meals; change underwear, pay attention to the vulva clean.
5. Small wounds must be dealt with in a timely manner.
6. Conditional, indoor regular ultraviolet radiation.
Return to work
Transplant success paved a way for the patient's normal life and work , but what time to resume work, depending on physical and mental circumstances. Generally , about half a year after the resumption of work, it is best to engage in half-day work, 2 to 3 months later, and then changed to full-time work. Do not forget to participate in the work, to the hospital to conduct a comprehensive inspection.Kidney transplantation has brought the gospel for uremic patients.But because of the acceptance of the donor kidney is allogene, so there is a lifelong rejection. After the patient is discharged, everything depends on self-observation. At this time should be a good mentality, should be cherished the hard-won new life .

Reminder:
Usually within 3 to 6 months after surgery is essential, is the impact of the long-term survival of the transplanted kidney and the fate of the critical stage. On the one hand, taking the immunosuppressive agent dose is large, low resistance, easy to infect; the other hand, when the immune response is strong, prone to acute rejection. Recent acute rejection and often lead to later to chronic rejection, affecting long-term survival of the transplanted kidney. Therefore, postoperative try to avoid acute rejection, are very important for the patients .
Patients should be careful to do the following:
Take medication regularly under the guidance of doctor
This should be treated as a top priority for the patient every day, every day must be strictly according to your doctor to take medicine, do not arbitrarily medication, drug reduction, to prevent the occurrence of exclusion and drug poisoning.
Regular outpatient review and follow-up
General requirements, should review 2 times a week in the first month after kidney transplant,in the second months review 1 time a week,in the third months every 2 weeks review 1 times. Half a year after the review 1 times, the condition should be changed with the attending physician at any time, timely diagnosis and treatment. Review items are: blood, urine routine; liver, kidney function; cyclosporine / Bullock can restore blood concentration. In addition, if necessary, should be reviewed chest X-ray, renal transplant ultrasound, electrolytes and blood lipids.
Make a record of life
1. The body temperature is recorded twice a day, arranged in the morning and after lunch.
2. Urine daily record of three kinds: day and urine, nocturia and 24 hours of total urine output.
3. Weight recorded once a day, requiring accurate measurement can be arranged before breakfast, after the urine.
4. The results of the inspection are summarized by inspection date.
5. Medication type and dose mainly record the amount of immunosuppressive drugs and increase or decrease.
Observe the signal of exclusion
The following circumstances should pay attention to whether the exclusion occurred:
1. Body temperature rose to 38 ℃ or more (more than 4 to 5 o'clock in the morning).
2. Urine reduction, weight gain.
3. Transplanted kidney enlargement, pain, tenderness tingling or straight down lower limb sensory traction pain.
4. High blood pressure.
5. Unexplained weakness, bloating, headache, loss of appetite, soreness, tachycardia, emotional instability, irritability and so on.
6. Elevated serum creatinine, elevated blood urea nitrogen.
Of course, the above six cases do not necessarily appear at the same time.
Patients should review a renal function as soon as possible, if the serum creatinine increased, you can confirm the occurrence of acute rejection.
Prevent infection
After kidney transplant the patient due to long-term use of immunosuppressive agents, immunity is lower than normal, can be found in the past is not easy to cold patients are now very cold, once infected, there will be continuous high fever, symptoms associated with infected organs. A similar situation should be treated as soon as possible, not delay, delay treatment.
Infection is actually preventable, the main measures are:
1. No smoking.
2. Less to public places, go out wearing a mask.
3. Cold weather in time to add clothing, anti-cold.
4. Pay attention to personal hygiene, wash hands before and after meals; change underwear, pay attention to the vulva clean.
5. Small wounds must be dealt with in a timely manner.
6. Conditional, indoor regular ultraviolet radiation.
Return to work
Transplant success paved a way for the patient's normal life and work , but what time to resume work, depending on physical and mental circumstances. Generally , about half a year after the resumption of work, it is best to engage in half-day work, 2 to 3 months later, and then changed to full-time work. Do not forget to participate in the work, to the hospital to conduct a comprehensive inspection.